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Assessing competence in cochlear implant surgery using the newly developed Cochlear Implant Surgery Assessment Tool

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@article{1d58d81fab2b4e6cb535e27bba715a70,
title = "Assessing competence in cochlear implant surgery using the newly developed Cochlear Implant Surgery Assessment Tool",
abstract = "PURPOSE: To develop and gather validity evidence for a novel tool for assessment of cochlear implant (CI) surgery, including virtual reality CI surgery training.METHODS: Prospective study gathering validity evidence according to Messick's framework. Four experts developed the CI Surgery Assessment Tool (CISAT). A total of 35 true novices (medical students), trained novices (residents) and CI surgeons performed two CI-procedures each in the Visible Ear Simulator, which were rated by three blinded experts. Classical test theory and generalizability theory were used for reliability analysis.RESULTS: The CISAT significantly discriminated between the three groups (p < 0.001). The generalizability coefficient was 0.76 and most of the score variance (53.3%) was attributable to the participant and only 6.8% to the raters. When exploring a standard setting for CI surgery, the contrasting groups method suggested a pass/fail score of 36.0 points (out of 55), but since the trained novices performed above this, we propose using the mean CI surgeon performance score (45.3 points).CONCLUSION: Validity evidence for simulation-based assessment of CI performance supports the CISAT. Together with the standard setting, the CISAT might be used to monitor progress in competency-based training of CI surgery and to determine when the trainee can advance to further training.",
keywords = "Cochlear implants, Medical education, Resident education, Virtual reality",
author = "Martin Frend{\o} and Andreas Frithioff and Lars Konge and S{\o}ren Foghsgaard and Mikkelsen, {Peter Trier} and S{\o}rensen, {Mads S{\o}lvsten} and Per Cay{\'e}-Thomasen and Andersen, {Steven Arild Wuyts}",
year = "2021",
month = feb,
day = "19",
doi = "10.1007/s00405-021-06632-9",
language = "English",
journal = "Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde",
issn = "0003-9195",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - Assessing competence in cochlear implant surgery using the newly developed Cochlear Implant Surgery Assessment Tool

AU - Frendø, Martin

AU - Frithioff, Andreas

AU - Konge, Lars

AU - Foghsgaard, Søren

AU - Mikkelsen, Peter Trier

AU - Sørensen, Mads Sølvsten

AU - Cayé-Thomasen, Per

AU - Andersen, Steven Arild Wuyts

PY - 2021/2/19

Y1 - 2021/2/19

N2 - PURPOSE: To develop and gather validity evidence for a novel tool for assessment of cochlear implant (CI) surgery, including virtual reality CI surgery training.METHODS: Prospective study gathering validity evidence according to Messick's framework. Four experts developed the CI Surgery Assessment Tool (CISAT). A total of 35 true novices (medical students), trained novices (residents) and CI surgeons performed two CI-procedures each in the Visible Ear Simulator, which were rated by three blinded experts. Classical test theory and generalizability theory were used for reliability analysis.RESULTS: The CISAT significantly discriminated between the three groups (p < 0.001). The generalizability coefficient was 0.76 and most of the score variance (53.3%) was attributable to the participant and only 6.8% to the raters. When exploring a standard setting for CI surgery, the contrasting groups method suggested a pass/fail score of 36.0 points (out of 55), but since the trained novices performed above this, we propose using the mean CI surgeon performance score (45.3 points).CONCLUSION: Validity evidence for simulation-based assessment of CI performance supports the CISAT. Together with the standard setting, the CISAT might be used to monitor progress in competency-based training of CI surgery and to determine when the trainee can advance to further training.

AB - PURPOSE: To develop and gather validity evidence for a novel tool for assessment of cochlear implant (CI) surgery, including virtual reality CI surgery training.METHODS: Prospective study gathering validity evidence according to Messick's framework. Four experts developed the CI Surgery Assessment Tool (CISAT). A total of 35 true novices (medical students), trained novices (residents) and CI surgeons performed two CI-procedures each in the Visible Ear Simulator, which were rated by three blinded experts. Classical test theory and generalizability theory were used for reliability analysis.RESULTS: The CISAT significantly discriminated between the three groups (p < 0.001). The generalizability coefficient was 0.76 and most of the score variance (53.3%) was attributable to the participant and only 6.8% to the raters. When exploring a standard setting for CI surgery, the contrasting groups method suggested a pass/fail score of 36.0 points (out of 55), but since the trained novices performed above this, we propose using the mean CI surgeon performance score (45.3 points).CONCLUSION: Validity evidence for simulation-based assessment of CI performance supports the CISAT. Together with the standard setting, the CISAT might be used to monitor progress in competency-based training of CI surgery and to determine when the trainee can advance to further training.

KW - Cochlear implants

KW - Medical education

KW - Resident education

KW - Virtual reality

U2 - 10.1007/s00405-021-06632-9

DO - 10.1007/s00405-021-06632-9

M3 - Journal article

C2 - 33604749

JO - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

JF - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

SN - 0003-9195

ER -

ID: 62375321